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Skills

  • Customer satisfaction improvement
  • Claims Dispute Resolution
  • Problem resolution
  • Automated Claims Processing Systems
  • Complex claims case resolution
  • Organization
  • Team management
  • Insurance Claims Software QuickBooks
  • Data analysis
  • Customer Relationship Management (CRM)

Work Experiences

  • Achieved annual savings of $8.
  • Collaborated with Legal Counsel.
  • Achieved an Employee of the Year for exceptional service by maintaining the lowest claim resolution time in Chicago for three consecutive quarters.
  • Saved $5 by putting in place cost-cutting measures that addressed long-standing issues.
  • Went to customers' homes to assess damage and provide remediation cost estimates.
  • Achieved a 60% decrease in avoidable claims.
  • Collaborated with cross-functional teams.
  • Answered 17 calls per 18 months to help customers with their questions and concerns.
  • Completed resolution within 17 months.
  • Achieved flawless regulatory audits in 2023.

Summaries

  • Committed Senior Claims Administrator with a focus on reducing organizational risk through strategic decision-making. Resolved high-complexity cases in Portland, ensuring clients' needs are met within compliance guidelines.
  • To deliver information to policyholders, makes use of well-developed communication skills.
  • Dedicated to reducing bottlenecks in claims procedures.
  • Bringing 3 years of experience in the field, as well as superior client relations and workflow optimization abilities.
  • Cut operational costs by $3 annually.
  • Achieved a 42% boost in team performance.
  • Adept at delivering actionable insights to senior leadership.
  • Trying to get a similar job with a growing insurance company.
  • Collaborative leader with deep experience in cross-functional team integration. Instrumental in reducing claims processing times by 7 days thanks to improved communication channels.
  • Detail-oriented Senior Claims Administrator proficient in claims status reporting and conflict resolution. Consistently achieved favorable outcomes, driving customer satisfaction up by 60%. Recognized for exceptional service.

Accomplishments

  • Spearheaded improvements in the settlement negotiation process, securing 15 in cost savings while maintaining a 59% resolution rate.
  • Collaborated with a finance team to reduce reserve allocation errors by 74%, resulting in more accurate financial reporting.
  • Designed and launched a digital claims processing workflow, which reduced manual inputs by 80% and decreased errors.
  • Collaborated with team of 4 in the development of procedure.
  • Spearheaded a performance improvement initiative, resulting in team processing 11 more claims per month with no increase in headcount.
  • Facilitated over 14 claims relating to catastrophe response, ensuring timely payouts which exceeded industry benchmarks by 12 days.
  • Established a proactive claims communication system, increasing positive feedback from stakeholders by 48%.
  • Worked closely with the legal department to streamline litigation-related claims documentation, reducing processing times by 4 days.
  • Achieved 64% increase in claims approval accuracy through the introduction of automated validation processes.
  • Played a critical role in negotiating a 32% increase in claim settlements in favor of clients, leading to positive industry recognition.

Affiliations

  • Affiliated with the American Society of Workers Comp Professionals (AMCOMP)
  • Member of the National Association of Mutual Insurance Companies (NAMIC)
  • Completed advanced coursework with the Casualty Actuarial Society (CAS)
  • American Marketing Association
  • Certified in Workflow Management Systems (WMS) for Claims Administrators
  • Certification in Advanced Data-Driven Fraud Detection by initiative
  • Rotary International
  • Association for Supply Chain Management (APICS)
  • Participant in local chapter activities for the Association of Professional Insurance Women (APIW)
  • Active representative of the Property Claim Services (PCS) Division

Certifications

  • Professional Risk Management Certification (PRMP)
  • Certified Public Accountant (CPA)
  • Certified Public Accountant
  • Professional Liability Insurance Specialist (PLIS)
  • Certified Risk Manager (CRM)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Business Analysis Professional (CBAP)
  • Senior Professional in Insurance Regulatory Compliance (SPIRC)
  • Certified Adjuster (CA) License
  • Corporate Insurance & Risk Management Certification

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